Can x rays be accurately interpreted using a low cost telemedicine system?

O’Reilly, Seamus; Spedding, R; Dearden, C H; Loane, Maria

doi:10.1136/emj.15.5.312

Cited by 16 publications

(11 citation statements)

References 9 publications

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“…Diagnostic accuracy and reliability of real‐time telemedicine compared with face‐to‐face consultations is between 59% and 80% in the literature (8). These findings are similar for store‐and‐forward methods giving diagnostic agreement between 59% and 93% in various studies (9–14).…”

Section: Accuracy and Reliabilitysupporting

confidence: 79%

Telemedicine in wound healing

Jones

Banwell

Shakespeare

2004

International Wound Journal

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Better care for patients and improved health care depends on the availability of good information which is accessible when and where it is needed. The development of technology, more specifically the Internet, has expanded the means whereby information can be acquired and transmitted over large distances enabling the concept of telemedicine to become a reality. Telemedicine, defined as the practise of medicine at a distance, encompasses diagnosis, education and treatment. It is a technology that many thought would expand rapidly and change the face of medicine. However, this has not happened and during the last decade although certain telemedicine applications, such as video-consulting and teleradiology, have matured to become essential health care services in some countries, others, such as telepathology, remain the subject of intensive research effort. Telemedicine can be used in almost any medical specialty although the specialties best suited are those with a high visual component. Wound healing and wound management is thus a prime candidate for telemedicine. Development of a suitable telemedical system in this field could have a significant effect on wound care in the community, tertiary referral patterns and hospital admission rates.

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Section: Accuracy and Reliabilitysupporting

confidence: 79%

Telemedicine in wound healing

Jones

Banwell

Shakespeare

2004

International Wound Journal

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“…52 An A&E teleradiology system was recently reported by O'Reilly and colleagues from Belfast. 63 This suggested that plain radiographs could be adequately interpreted, for the purposes of minor injuries management, using a low cost and low resolution telemedicine link. This is supported by other papers that have shown that a reduction in the cost and technical specifications of a teleradiology system may still yield adequate images.…”

Section: What Is the Accuracy Of Teleradiology In Relation To Currentmentioning

confidence: 99%

A review of telemedicine in accident and emergency: the story so far

Benger¹

2000

Emergency Medicine Journal

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Recent developments in information and communications technology have the potential to revolutionise health care. This has been recognised at government level, and plays a significant part in the new information strategy for the NHS "Information For Health". Telemedicine (literally, medicine at a distance) is one of the most successful techniques in this rapidly expanding field, and in preliminary studies has proved to be both successful and popular with patients and health care professionals. In the UK telemedicine has been mainly applied to two major areas of accident and emergency (A&E) practice. These are the transmission of computed tomography scans for urgent neurosurgical opinion and the ongoing support of minor injuries units. The latter also involves transmission and interpretation of radiographs, usually peripheral limb films.Telemedicine is not a medical subspecialty in itself, but a facilitator of all medical and surgical specialties. While recent modernisation initiatives have permitted A&E departments to purchase a range of telemedical equipment, overall progress is hampered by a lack of large or scientifically rigorous studies, and a complete absence of data on the economic implications of this new technique. This review introduces A&E telemedicine in terms that avoid jargon and complex technical details. After a brief consideration of the origins of the subject, attention is given to recent publications relating to minor injuries support and A&E teleradiology. The technical and clinical feasibility of A&E telemedicine are demonstrated, and a case is made for the transmission and interpretation of minor injuries radiographs using a relatively simple and inexpensive system, supported by timely radiological reporting. After a brief study of various legal and ethical issues, the likely developments of the future are discussed. (J Accid Emerg Med 2000;17:157-164)

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“…15 Most studies judge the technical image quality and do not consider the simultaneous evaluation of the clinical information provided. 16 In the present study, both the quality of images transmitted via teleconferencing and the clinical relevance of real-time interactive discussion is analyzed to determine the benefits, if any, to the diagnostic accuracy in the field of surgery.…”

Section: Commentmentioning

confidence: 99%

An Evaluation of Telemedicine in Surgery

Demartines¹

2000

Arch Surg

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Telemedicine for real-time transmission of clinical documents and interactive remote telediagnosis allows accurate clinical application in surgery. Design: Prospective cohort study in which 2 hospitals, 120 miles apart, were connected via integrated services digital network (ISDN) teleconferencing units, and each evaluated clinical cases in real time. Setting: A tertiary care university hospital and primary care county hospital.

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Can x rays be accurately interpreted using a low cost telemedicine system?

Cited by 16 publications

References 9 publications

Telemedicine in wound healing

Telemedicine in wound healing

A review of telemedicine in accident and emergency: the story so far

An Evaluation of Telemedicine in Surgery

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